Cerebral complications of purulent meningitis in children assessed by transfontanellar ultrasonography in Yaounde (Cameroon).
Sixty-one children, aged 0 to 12 months, all having meningitis confirmed by bacteriological and biochemical studies of CSF, were subjected to transfontanellar US exploration and clinical follow-up. Thirty-three (54.1%) children were normal, and 28 (45.9%) presented cerebral complications: hydrocephalus 20 cases (71.4%), ventriculitis 5 cases (17.9%), abscess and ventriculitis 2 cases (7.1%) and cerebral atrophy 1 case (3.6%). 36.1% of patients with purulent or turbid CSF presented with complications. 24.6% of complications were due to unidentified bacteria and 11.4% due to pneumococcus group. 90.9% patients with coma, and 76.4% with convulsion showed cerebral complications. The authors recommend routine us exploration of children with confirmed meningitis in tropical milieu.
Gonsu-Fotsin
J
J
Department of radiology, CUSS, University of Yaounde, Cameroon.
Kago
I
I
Dzogang
M T
MT
Kamga
H G
HG
Camara
M
M
D001927:Brain Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D002163:Cameroon; D002552:Cerebral Ventricles / Q000000981:diagnostic imaging; D004660:Encephalitis / Q000000981:diagnostic imaging / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006849:Hydrocephalus / Q000000981:diagnostic imaging / Q000209:etiology; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008581:Meningitis / Q000150:complications* / Q000000981:diagnostic imaging; D014463:Ultrasonography